Civicorps

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CIVICORPS

Practice address

101 Myrtle St
Oakland, CA 94607-2543

Phone

(510) 992-7800

NPI assigned

Dec 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tessa Nicholas

Title

Executive Director

Phone

(510) 992-7853

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natasha SM Vinakor, LCSW

  • Clinical Social Worker
  • Oakland, CA
  • NPI 1629774203
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1760208029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MYRTLE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072543",
            "telephone_number": "510-992-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MYRTLE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072543",
            "telephone_number": "510-992-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVICORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-992-7853"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aicha Cisse, PHD
• Soumahila Cisse
• Claudia R Cisternas Camus
• Evan Cittadino
• City of Oakland, Department of Human Services - MSSP
• Allison Civiello
• Aleksandras Cizas, MD
• Emily Claassen
• Miranda Claggette
• Heather Whipple Clague, M.D.

• Community/Behavioral Health Agency in Oakland, CA
• Providers in Oakland, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.